Maternal Infant Health Outreach Worker (MIHOW)® Meets HHS Criteria

Model effectiveness research report last updated: 2022

Effects shown in research

Child health

Findings rated high

Maternal Infant Health Outreach Worker (MIHOW)®
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Outcome measure Effect Follow-up timing Sample Sample size Intervention group Comparison group Group difference Effect size Statistical significance Notes

Child given other liquids by 2 months postpartum

FavorableUnfavorable or ambiguousNo Effect

2 months postpartum

MIHOW vs. MEI, Davidson County, Tennessee, 2014-2016, full sample

176 mothers Unadjusted proportion = 0.01 Unadjusted proportion = 0.06 Difference = -0.05 HomVEE calculated = -1.03

Not statistically significant, p = 0.13

Submitted by user on

Negative effect is favorable to the intervention.

Submitted by nwu on

Statistical significance is based on HomVEE calculations.

Child given other liquids by 6 months postpartum

FavorableUnfavorable or ambiguousNo Effect

6 months postpartum

MIHOW vs. MEI, Davidson County, Tennessee, 2014-2016, full sample

178 mothers Unadjusted proportion = 0.90 Unadjusted proportion = 0.91 Difference = -0.01 HomVEE calculated = -0.05

Not statistically significant, p = 0.87

Submitted by user on

Negative effect is favorable to the intervention.

Submitted by nwu on

Statistical significance is based on HomVEE calculations.

Child given solid food by 6 months postpartum

FavorableUnfavorable or ambiguousNo Effect

6 months postpartum

MIHOW vs. MEI, Davidson County, Tennessee, 2014-2016, full sample

178 mothers Unadjusted proportion = 0.91 Unadjusted proportion = 0.92 Difference = -0.01 HomVEE calculated = -0.06

Not statistically significant, p = 0.86

Submitted by nwu on

Statistical significance is based on HomVEE calculations.

Maternal Infant Health Outreach Worker (MIHOW)®
Show findings details
Outcome measure Effect Follow-up timing Sample Sample size Intervention group Comparison group Group difference Effect size Statistical significance Notes

Child given solid food by 9 months postpartum

FavorableUnfavorable or ambiguousNo Effect

9 months postpartum

MIHOW vs. MEI, Tennessee, 2018-2020, full sample

109 mothers Unadjusted proportion = 1.00 Unadjusted proportion = 0.98 Difference = 0.02 HomVEE calculated = 1.80

Not statistically significant, p= 0.23

Currently breastfeeding at 9 months postpartum

FavorableUnfavorable or ambiguousNo Effect

9 months postpartum

MIHOW vs. MEI, Tennessee, 2018-2020, full sample

109 mothers Unadjusted proportion = 0.43 Unadjusted proportion = 0.25 Difference = 0.18 Study reported = 0.46

Statistically significant, p= 0.04

Author-reported effect size was calculated with Cohen's D.

Maternal Infant Health Outreach Worker (MIHOW)®
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Outcome measure Effect Follow-up timing Sample Sample size Intervention group Comparison group Group difference Effect size Statistical significance Notes

Breastfeeding at 6 months postpartum

FavorableUnfavorable or ambiguousNo Effect

6 months postpartum

MIHOW vs. MEI, Davidson County, Tennessee, 2014-2016, full sample

175 mothers Unadjusted proportion = 0.50 Unadjusted proportion = 0.49 Difference = 0.01 HomVEE calculated = 0.01

Not statistically significant, p = 0.94

Submitted by nwu on

Statistical significance is based on HomVEE calculations.

Ever breastfed the child

FavorableUnfavorable or ambiguousNo Effect

2 weeks postpartum

MIHOW vs. MEI, Davidson County, Tennessee, 2014-2016, full sample

177 mothers Unadjusted proportion = 0.86 Unadjusted proportion = 0.83 Difference = 0.03 Study reported = 0.13

Not statistically significant, p= 0.57

Author-reported effect size was calculated with Cohen’s D.

Median number of weeks of exclusive breastfeeding

FavorableUnfavorable or ambiguousNo Effect

6 months postpartum

MIHOW vs. MEI, Davidson County, Tennessee, 2014-2016, full sample

175 mothers Unadjusted median = 1.40 Unadjusted median = 0.30 Median difference = 1.10 Study reported = 0.04

Statistically significant, p= 0.01

Author-reported effect size was calculated with Cohen’s D.

Never breastfed exclusively

FavorableUnfavorable or ambiguousNo Effect

6 months postpartum

MIHOW vs. MEI, Davidson County, Tennessee, 2014-2016, full sample

176 mothers Unadjusted proportion = 0.56 Unadjusted proportion = 0.79 Difference = -0.24 HomVEE calculated = -0.67

Statistically significant, p < .05

Submitted by user on

Negative effect is favorable to the intervention.

Never breastfed the child

FavorableUnfavorable or ambiguousNo Effect

6 months postpartum

MIHOW vs. MEI, Davidson County, Tennessee, 2014-2016, full sample

175 mothers Unadjusted proportion = 0.14 Unadjusted proportion = 0.18 Difference = -0.03 HomVEE calculated = -0.14

Not statistically significant, p = 0.56

Submitted by user on

Negative effect is favorable to the intervention.

Submitted by nwu on

Statistical significance is based on HomVEE calculations.

Still exclusive breastfeeding 6 months postpartum

FavorableUnfavorable or ambiguousNo Effect

6 months postpartum

MIHOW vs. MEI, Davidson County, Tennessee, 2014-2016, full sample

176 mothers Unadjusted proportion = 0.02 Unadjusted proportion = 0.01 Difference = 0.01 HomVEE calculated = 0.40

Not statistically significant, p >= .05

Stopped breastfeeding by 2 months postpartum

FavorableUnfavorable or ambiguousNo Effect

2 months postpartum

MIHOW vs. MEI, Davidson County, Tennessee, 2014-2016, full sample

175 mothers Unadjusted proportion = 0.16 Unadjusted proportion = 0.09 Difference = 0.06 HomVEE calculated = 0.35

Not statistically significant, p = 0.23

Submitted by user on

Negative effect is favorable to the intervention.

Submitted by nwu on

Statistical significance is based on HomVEE calculations.

Stopped breastfeeding by 2 weeks postpartum

FavorableUnfavorable or ambiguousNo Effect

2 weeks postpartum

MIHOW vs. MEI, Davidson County, Tennessee, 2014-2016, full sample

175 mothers Unadjusted proportion = 0.02 Unadjusted proportion = 0.02 Difference = 0.00 HomVEE calculated = -0.04

Not statistically significant, p = 0.95

Submitted by user on

Negative effect is favorable to the intervention.

Submitted by nwu on

Statistical significance is based on HomVEE calculations.

Stopped breastfeeding by 6 months postpartum

FavorableUnfavorable or ambiguousNo Effect

6 months postpartum

MIHOW vs. MEI, Davidson County, Tennessee, 2014-2016, full sample

175 mothers Unadjusted proportion = 0.18 Unadjusted proportion = 0.21 Difference = -0.03 HomVEE calculated = -0.13

Not statistically significant, p = 0.57

Submitted by user on

Negative effect is favorable to the intervention.

Submitted by nwu on

Statistical significance is based on HomVEE calculations.

Stopped breastfeeding exclusively by 2 months postpartum

FavorableUnfavorable or ambiguousNo Effect

2 months postpartum

MIHOW vs. MEI, Davidson County, Tennessee, 2014-2016, full sample

176 mothers Unadjusted proportion = 0.19 Unadjusted proportion = 0.08 Difference = 0.11 HomVEE calculated = 0.59

Statistically significant, p < .05

Submitted by user on

Negative effect is favorable to the intervention.

Stopped breastfeeding exclusively by 2 weeks postpartum

FavorableUnfavorable or ambiguousNo Effect

2 weeks postpartum

MIHOW vs. MEI, Davidson County, Tennessee, 2014-2016, full sample

176 mothers Unadjusted proportion = 0.23 Unadjusted proportion = 0.12 Difference = 0.12 HomVEE calculated = 0.51

Statistically significant, p < .05

Submitted by user on

Negative effect is favorable to the intervention.

Findings rated moderate

Maternal Infant Health Outreach Worker (MIHOW)®
Show findings details
Outcome measure Effect Follow-up timing Sample Sample size Intervention group Comparison group Group difference Effect size Statistical significance Notes

Breastfeeding initiated (ever breastfed the child)

FavorableUnfavorable or ambiguousNo Effect

2 weeks postpartum

MIHOW vs. MEI, Tennessee, 2018-2020, full sample

113 mothers Unadjusted proportion = 0.97 Unadjusted proportion = 0.89 Difference = 0.08 Study reported = 0.30

Not statistically significant, p= 0.11

Author-reported effect size was calculated with Cohen's D.

Child given solid food by 2 months postpartum

FavorableUnfavorable or ambiguousNo Effect

2 months postpartum

MIHOW vs. MEI, Tennessee, 2018-2020, full sample

112 mothers Unadjusted proportion = 0.02 Unadjusted proportion = 0.08 Difference = -0.06 Study reported = -0.85

Not statistically significant, p= 0.12

Submitted by user on

Negative effect is favorable to the intervention.

Author-reported effect size was calculated with Cohen's D.

Child given solid food by 6 months postpartum

FavorableUnfavorable or ambiguousNo Effect

6 months postpartum

MIHOW vs. MEI, Tennessee, 2018-2020, full sample

111 mothers Unadjusted proportion = 0.95 Unadjusted proportion = 0.93 Difference = 0.02 Study reported = 0.22

Not statistically significant, p= 0.61

Author-reported effect size was calculated with Cohen's D.

Currently breastfeeding at 12 months postpartum

FavorableUnfavorable or ambiguousNo Effect

12 months postpartum

MIHOW vs. MEI, Tennessee, 2018-2020, full sample

110 mothers Unadjusted proportion = 0.37 Unadjusted proportion = 0.13 Difference = 0.24 Study reported = 0.74

Statistically significant, p <.01

Author-reported effect size was calculated with Cohen's D.

Currently breastfeeding at 15 months postpartum

FavorableUnfavorable or ambiguousNo Effect

15 months postpartum

MIHOW vs. MEI, Tennessee, 2018-2020, full sample

110 mothers Unadjusted proportion = 0.11 Unadjusted proportion = 0.02 Difference = 0.09 HomVEE calculated = 1.09

Not statistically significant, p= 0.05

Currently breastfeeding at 2 months postpartum

FavorableUnfavorable or ambiguousNo Effect

2 months postpartum

MIHOW vs. MEI, Tennessee, 2018-2020, full sample

113 mothers Unadjusted proportion = 0.71 Unadjusted proportion = 0.61 Difference = 0.10 Study reported = 0.25

Not statistically significant, p= 0.26

Author-reported effect size was calculated with Cohen's D.

Currently breastfeeding at 2 weeks postpartum

FavorableUnfavorable or ambiguousNo Effect

2 weeks postpartum

MIHOW vs. MEI, Tennessee, 2018-2020, full sample

106 mothers Unadjusted proportion = 0.84 Unadjusted proportion = 0.82 Difference = 0.03 Study reported = 0.10

Not statistically significant, p= 0.73

Author-reported effect size was calculated with Cohen's D.

Currently breastfeeding at 6 months postpartum

FavorableUnfavorable or ambiguousNo Effect

6 months postpartum

MIHOW vs. MEI, Tennessee, 2018-2020, full sample

111 mothers Unadjusted proportion = 0.52 Unadjusted proportion = 0.34 Difference = 0.18 Study reported = 0.40

Not statistically significant, p= 0.06

Author-reported effect size was calculated with Cohen's D.

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